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General NPI Number Information
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NPI Number | 1750278867
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Entity Type | Individual
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Provider Name | MADELEINE LUCAS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 160 S PROGRESS AVE STE 3A
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City | HARRISBURG
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State | PA
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Zip | 17109-4636
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Country | US
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Telephone | 717-602-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 216 S YORK ST
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City | MECHANICSBURG
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State | PA
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Zip | 17055-6304
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Country | US
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Telephone | 717-979-6888
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC018551
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License Number State | PA
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